In the event of serious illness, injury, or death, this person has permission to enter my unit and remove personal belongings unless otherwise outlined in a legal document.

YesNo

EMPLOYMENT REFERENCES

Applicant'spresent employer

Employer'saddress

Currentposition

How longin this position

How longwith this employer

Supervisor'sname

Employer'sphone number

Gross $income

Perwhat period

Bi-WeeklyMonthlyAnnually

Co-Applicant'spresent employer

Employer'saddress

Currentposition

How longin this position

How longwith this employer

Supervisor'sname

Employer'sphone number

Gross $income

Perwhat period

Bi-WeeklyMonthlyAnnually

EMPLOYMENT HISTORY (if current employer is less than one year, list previous employer)

Previousemployer

Previousemployer address

Position

How longin that position

Gross $monthly income

Supervisor'sname

Previousemployer's phone

ADDITIONAL SOURCES OF INCOME

Amount $

Perwhat period

Bi-WeeklyMonthlyAnnually

Source

CRIMINAL SCREENING

All occupants over the age of 18 years of age will be screened for criminal records.

You must have a clean criminal background which this company defines as no criminal charges (either felony or misdemeanor) in the past five years and none of the following regardless when they occurred:

Violent Crime

Burglary / Breaking & Entering / Criminal Trespass

Sexual Abuse

Destruction of Property

Multiple Misdemeanor Convictions

Are you or anyone in your household subject to a state sex offender lifetime registration requirement?

YesNo

Have you or anyone in your household ever engaged in the use of illegal drugs?

YesNo

Have you or anyone in your household been convicted of violating any drug related laws?

YesNo

Have you ever been evicted?

YesNo

Have you ever been convicted of a crime?

YesNo

Management will not discriminate on the basis of race, color, nationality, gender, family status, religion, sex, or any other characteristics protected by all applicable state and federal discrimination laws.

I warrant that all statements above are true and may be used by the landlord and managing agent in accepting or rejecting my application. By signing this application either in hand or e-signing the pdf and returning electronically, I authorize my employer to verify my employment and income. The undersigned acknowledges that if any misrepresentation is made and a lease signed, the misrepresentation is a material breach of the Lease and the Landlord will have the right to terminate the Lease. I hereby consent to have the Landlord request a credit check from any applicable credit rating bureau to determine my credit worthiness.

I UNDERSTAND A $50.00 NON-REFUNDABLE APPLICATION FEE IS REQUIRED PER APPLICATION.

SECURITY DEPOSIT

Upon leaving the deposit for an Apartment, I understand that once I am approved and confirmed my unit number for the Apartment and move in, this money will become my security deposit for the duration of my residency.

I understand I have 72 hours to cancel my application and receive a full refund from the time of original payment. If my application is denied, I will be refunded the deposit. If I decide that I no longer want to rent the apartment, I understand that I forfeit the $300.00 deposit and any additional deposit required after my application has been accepted/approved.

If the apartment assigned is not ready by date agreed upon, due to Management, I understand that Management will either have another unit ready or a new move-in date within seven (7) days of original date will be the possession date. If I cancel or withdraw my application due to the apartment not being ready, I understand that I waive my deposit as an Early Termination Fee. I fully understand that the property has no obligation to hold the apartment after the above possession date.

Applicant'ssignature

Date

Co-Applicant'ssignature

Date

By typing your name above, you are submitting it as your signature.

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A one-time $50 non-refundable application fee is required prior to application review.
This fee is due for each applicant (ex. two applicants, two $50 fees would be required).
Upon completion, submission and payment (below), call or come by our apartment office.
Please click “Pay Now” below after application submission to pay fee via credit card:

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If you prefer to fill out and save, print, or email a PDF application instead, use the button below: